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ENT · Head and neck
Sample itemA painless neck mass in an adult should raise concern for what?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Head and neck malignancy
The finding is best explained by Head and neck malignancy; this is the key Head and neck principle that matches the presentation described in the question.
Option by option
A. Simple otitis externa
Simple otitis externa does not account for the defining head and neck feature.
B. Acute glaucoma
Acute glaucoma can occur in a different setting but is not the best answer here.
C. Head and neck malignancy (correct)
Correct. Head and neck malignancy is the appropriate conclusion for the decisive clue.
D. Refractive error
Refractive error does not fit the symptom pattern or examination finding provided.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.